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General NPI Number Information
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NPI Number | 1780803908
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Entity Type | Organization
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Legal Business Name | ACE ORTHOPEDICS
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 475 W STETSON AVE STE C
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City | HEMET
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State | CA
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Zip | 92543-7073
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Country | US
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Telephone | 951-929-5000
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Fax | 951-929-5033
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Provider Business Mailing Address
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Address Line | 475 W STETSON AVE STE C
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City | HEMET
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State | CA
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Zip | 92543-7073
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Country | US
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Telephone | 951-929-5000
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Fax | 951-929-5033
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | JULIO ADAME
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Credential | CPO01871
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Telephone | 951-929-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 335E00000X
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License Number State | CA
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